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I think it depends on what your sedation goals are. I think that propofol is a great drug to maintain a RASS -1 to -2 for adults in a dark, quiet ICU. That being said it requires far larger doses to maintain that level of sedation in the ED or during transport, and I typically find versed or...

A variety of stimulus can provoke seizures, it just depends on the patients seizure threshold. A higher amount of stimulation (for example a higher flash rate) may be more likely to precipitate a seizure, but that doesn’t mean a smaller stimulus will not provoke one. Patients also can have a...

Tell me how to manage a field delivery or critical care transport of a ductal dependent 800 gram DTGA. What is the emergency procedure if they lose communication? How about a 1200 gram CAVC? What are goal saturation. What happens if you give high flow oxygen?

Almost? More than once late at night I’ve slowed down for the red, cleared the intersection, and kept driving. And in that moment as I’m about halfway through the intersection I realize that I’m in my POV, and pray that there isn’t a cop around.

Didn’t see that, but yes. The lumber shortage is real though. I’m driving across the state surrounded by forests to pick up wood.

Apparently pressure treated lumbar is now on national shortage

Bipap 10/5 with inline duo x3. SIMV PRVC 10 over 6, RR 12, 6/kg iwb.

I’ve lived all across the western and central US as well as Asia. I live in the mountains now.

I’d rather not. It’s hot and humid, and I dislike both. I was on the deployment list for Harvey and narrowly got away with not being sent to that dumpster fire.

Our ICU census is so low that we had to close one of our adult ICUs and move the patients to one of the others on campus. I get the feeling I’m going to end up sent to Texas soon.

I thought most of the deaths of excited delirium are attributed to acute drug intoxicated, typically cocaine, PCP, meth, or synthetics (spice/bath salts). I assume the patient would have had a drug screen in the hospital and from the coroner.

LD50 is what is typically reported as the lethal dose. When you look at toxicology it is important to remember that the LD50 is an average, and that many subjects have a higher or lower individual lethal dose. Typically the LD50 is reported based on testing on lab rats or rabbits, so there is...

Overdrive pacing can be done for hours. ATP is a short cycle, it shouldn’t be sustained

Yes for high altitude, medic gets ditched on the mountain. There are several pacer settings, however implanted pacers do not have the ability to overdrive pace (or more accurately no cardiologist would every program overdrive pacing). Overdrive typically tanks cardiac output, and we only...

I thought all the moms love anesthesia since y’all give the epidurals.

If that is your level of professionalism then you should probably work on that.

Well you should be getting consent before any intervention.

There are a few reasons why you don't see many ED/Trauma/Critical Care clinicians wearing a stethoscope around their neck, it doesn't have to do with looking like a tool. The oil in you skin tends to harden and crack the tubing on stethoscopes. When you run the stethoscope bounces, is...

For those are going to argue that IV Tylenol is too expensive, the current average bulk price is $57 per 1 gram bottle, far cheaper than most people think and many other disposables we carry on the bus. If cost is still a serious concern rectal works almost as well and is much cheaper. One gram...

https://media.jamanetwork.com/news-item/no-significant-difference-pain-relief-opioids-vs-non-opioid-analgesics-treating-arm-leg-pain/ https://pubmed.ncbi.nlm.nih.gov/23379572/...